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authorization specialist
3 weeks ago
Cooper University Health Care Camden, United States· AUTHORIZATION SPECIALIST · Camden, NJ · Job ID 15437 Job Type Full Time · Shift Day · Specialty Finance/Accounting · About us · At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are co ...
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authorization specialist
3 weeks ago
Cooper University Health Care Clinton St, Camden, NJ , USA, United StatesAbout us · At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologi ...
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Prior Authorization Specialist
1 week ago
ParetoHealth Philadelphia, United States Part timeWe're in this for the greater good at ParetoHealth. Our mission is collective greatness, nothing less will do. Our team is a single force united in the drive to transform employee health benefits. · The company was founded in 2011 to help small and medium-sized businesses fight ...
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Authorization Specialist
3 weeks ago
Cooper University Health Care Camden, United States**About us** · At** Cooper University Health Care**, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, tec ...
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Authorization Specialist
3 weeks ago
Cooper University Health Care Camden, United States**About us** · At** Cooper University Health Care**, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, tec ...
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Authorization Specialist
4 weeks ago
Gadgetco Philadelphia, United StatesGadget Shop was established in 1987 , and remains one of the largest international widget manufacturers. We have solid career opportunities, and are looking for quality employees that will share in our success.The Account Executive will develop sales programs, implement strategie ...
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Administrative Authorization Specialist
2 weeks ago
Northeast Treatment Center Philadelphia, United StatesTitle: Administrative Authorization Specialist · Division: Mental Health · Programs: Children's Behavioral Health Programs · Reports to: Care Management Supervisor · Employment Status: Full Time · FLSA Status: Non-Exempt · Date: July 24, 2023 · **SUMMARY**: · This position includ ...
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Administrative Authorization Specialist
1 week ago
Northeast Treatment Center Philadelphia, United StatesTitle: Administrative Authorization Specialist · Division: Children's Behavioral Health · Programs: RU 1200; IBHS Program · Reports to: Administrative Supervisor · Employment Status: Full-Time · FLSA Status: Exempt · Date: 4/25/24 · SUMMARY: · This position includes a wide range ...
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Insurance Authorization Specialist
1 day ago
Good Shepherd Rehabilitation Network Philadelphia, United States**JOB SUMMARY** · - Acts as a liaison with all insurance providers including commercial, managed care, and governmental plans · - Gathers and submits patient information to secure prior authorizations for inpatient IRF and LTACH admissions · - Gathers and transmits required docum ...
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Hospital Authorization Specialist
6 days ago
Nemours Children\'s Health Wilmington, United States Full timeNemours is seeking a Remote Hospital Authorization Specialist to join our team. · Monday through Friday 8:30am-5:00pm. Must be within 1 hour driving distance from Hosptial in Wilmington, DE. · The Specialist is responsible for obtaining and processing Elective, Urgent, and Emer ...
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Pre-authorization Specialist
3 days ago
Franklin Cardiovascular Associates, Pa Sicklerville, United StatesJob Overview: · We are seeking a detail-oriented and experienced Prior Authorization Specialist to join our team. As a Prior Authorization Specialist, you will be responsible for obtaining insurance pre-approvals for medical procedures and ensuring that all necessary documentatio ...
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Hospital Authorization Specialist
2 weeks ago
Nemours Wilmington, United States**Nemours is seeking a Remote Hospital Authorization Specialist to join our team.** · **Monday through Friday 8:30am-5:00pm. Must be within 1 hour driving distance from Hosptial in Wilmington, DE.** · **Essential Functions: · - Ensure request for authorization is timely and handl ...
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Prior Authorization Specialist
3 weeks ago
Pulse Vascular, LLC Vineland, United States**Prior Authorization Specialist** · We are currently seeking a skilled and experienced Prior Authorization Specialist to join our esteemed medical office team. As a vital member of our team, you will play a crucial role in facilitating authorizations and referrals for various me ...
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Prior Authorization Specialist
3 weeks ago
Ivira Health Wilmington, United States**About our company**: · Ivira Health is a leading healthcare organization dedicated to improving patient outcomes and providing quality healthcare services. We are seeking a skilled and experienced Prior Authorization Specialist to join our team and contribute to our mission of ...
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Oncology Clinical Pharmacist Specialist
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Medical University of South Carolina Camden, United States Full timeJob Description · Clinical Pharmacy Services · • · Maintain competence in specialty area and sub-specialty area. If board certified in primary specialty area, maintain certification. If seeking certification, ascertain within one year of employment, or complete equivalent compet ...
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Vaccines Key Account Lead, New Jersey
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Media Specialist
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Philadelphia Housing Authority Philadelphia, United StatesThe Philadelphia Housing Authority, America's fourth largest public housing authority and leader in real estate development and property management is seeking a Media Specialist in the Communications Department. · Reporting to the Executive Vice President – Communications, the M ...
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Electrical Design Engineer
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Evolution Philadelphia, United StatesSummary · The Senior Electrical Design Engineer will be responsible for supporting the Engineer Department by leading projects, utilizing CAD for designing and interpretation, and supervising specialists and contractors. · Responsibilities · Analyzing CAD technical drawings and i ...
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Quality Management Specialist
6 days ago
Community Behavioral Health. Philadelphia, United StatesPosition Overview: · The Quality Management Specialist is responsible for assisting in the daily operation of the Quality Management processes. This entails tracking, trending and resolving significant incidents and quality concerns. · Essential Functions: · Assists in the trac ...
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Billing and Registration Specialist
6 days ago
Comhar Inc. Philadelphia, United States:***Effective October 15, 2021, all employees/contractors/interns/volunteers are required to provide our office with proof of COVID vaccination.*** · Billing and Registration Specialist Shift: · Monday-Friday 9:00AM-5:00PM · Openings: · One (1) Opening · Billing and Registration ...
authorization specialist - Camden, United States - Cooper University Health Care
Description
About usAtCooper University Health Care,our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short DescriptionFinancially clears scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures, prior to date of service. Financial clearance process encompasses any or all of the following job functions:
Verifies insurance eligibility and plan benefits.
Contacts patients with inactive insurance coverage to obtain updated insurance information
Validates coordination of benefits between insurance carriers.
Explains insurance plan coverage and benefits to patients, as necessary.
Secures insurance authorizations and pre-certs for patient services both internal and external to Cooper.
Creates referrals for patients having a Cooper PCP. Contacts external PCPs to obtain referrals for patients scheduled with Cooper providers.
Refers patients with less than 100% coverage to Financial Screening Navigators.
Identifies copayment, deductible and co-insurance information.
Collects and processes patient liability payments prior to service.
Provides clear and concise documentation in systems.
Communicates daily with insurance companies, internal customers, providers and patients.
Experience Required
2 years insurance verification or registration experience in a hospital or physician office preferred.
Working knowledge of medical insurance plans & products, coordination of benefits guidelines, and requirements for authorizations, pre-certifications and referrals preferred.
Proficiency in working with payor on-line portals, as well as NaviNet, Passport or other third party eligibility systems preferred.
Experience working in a high volume call center preferred.
Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems preferred
Education RequirementsHigh School Diploma required